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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818052
Report Date: 11/18/2020
Date Signed: 11/19/2020 10:49:43 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCAREFACILITY NUMBER:
364818052
ADMINISTRATOR:BALDWIN, LISAFACILITY TYPE:
840
ADDRESS:59025 YUCCA TRAILTELEPHONE:
(760) 365-9049
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:30CENSUS: DATE:
11/18/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Director, Lisa BaldwinTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA), Maddox conducted a virtual inspection with Lisa Baldwin. A virtual inspection was conducted in lieu of an In-person inspection due to the COVID-19 pandemic. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. During this TA there were a total of 3T/24C. The facility will utilize the following classrooms for childcare: A7 Bldg. Rm's B4 & B5, also Room C which was previously licensed as a Preschool room (updated facility sketch and fire clearance on file).

There is one entrance into the center. A health check of staff and children upon arrival and before entering classrooms. LPA observed COVID-10 postings throughout the center including bathrooms. Center utilizes the Brightwell electronic system to sign children in and out. The isolation area is located in the front office, there are two staff restrooms located in the front of the school that will be utilized as isolation restrooms. If a child becomes ill, the child's authorized representative will be contacted immediately to pick child up. Department of Public Health will be contacted in regard to any COVID-19 illness.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VALLEY COMMUNITY CHAPEL SCHOOL AND DAYCARE
FACILITY NUMBER: 364818052
VISIT DATE: 11/18/2020
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LPA reminded Director of the importance of keeping the same group of children and Staff together and avoid moving between groups indoor and outdoors. There should be no more than 16 individuals to a cohort at this time due to the State of Emergency due to the COVID-19 pandemic. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. Bathrooms are located within the classrooms: Rm C has 1 bathroom with 1T/1/S; Rm B4 and B5 have 2 bathrooms with 1T/1S in each. There is a designated outdoor play area with age appropriate equipment and activities. There is a water cooler with disposable cups, children also bring their own water bottles.

The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,



Licensee was informed to ensure to report any positive COVID-19 cases immediately to Community Care Licensing and also contact the local Health Department for further directives.



Copy of this report emailed with read receipt
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
LIC809 (FAS) - (06/04)
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